I've been doing L&D for about 3 years now, but for the first 2 I was in a LDRP and did a lot of Mother/Baby and triage, but not a heaptons of labors. I was in the army and we didn't do very many inductions and when we did they were vaginal cytotec and manual dialation with foley bulb, worked with a lot of midwives, did a good bit of vbacs, and very few c/s at night besides crash ones. I managed labor patients on my own, don't get me wrong, and felt pretty good about my skills. I was charge a lot of times and was extremely proficient in that role and mother/baby and nursery. When I decided to get out of the army I applied for a charge nurse position in a L&D unit in a civilian hospital, not knowing ALL the things that I didn't know lol. During orientation at my new hospital, I quickly learned that things were done way differently outside of the army. We do oral cytotec inductions, some cervidils, plenty of c/s, and average pitocin induc/augmentation. VBACs are pretty much a no go. No doctor in house.... I mean a complete change. I went home after every shift and cried feeling completely inadaquate, lost, and embarassed because I was suppose to become a charge nurse. I sucked it up though and continued on because I knew I would catch on sooner or later and regain my confidence. I mean even the equipment here (such as Jelcos, straight cath and foley kits, etc) was completely different so even though ive done literally thousands of catheters I felt foolish the first time I opened a foley kit and it was completely different from what I was used to. My orientator probably thought I was a moron. I've been here about 9 months now and am feeling much better, but still have to ask lots of questions and get second opinions all the time before I call a doctor. Once all those kind of nuances with equipment and different ways of doing things eased, then what I knew about laboring and deliveries came right back to me and I was able to gain some confidence back.
As far as handling the prolonged decel, I think you did everything right. One only has so many hands. You simply cannot do everything you need to do all at once. Getting help is always the best way to go. Many times I've had a decel happen and of course my first reaction is flip the patient now, get O2 on now, start fluid bolus now and get stuck on flipping patient because it takes what can seem forever (but really is only seconds) to get FHT back on monitor so you can determine if flipping has resolved the issue. Everytime this happens I'm freaking outin my head going, "omg, okay baby, show me where u r. hurry up cause i need to grab a FM out of the draw and get some O2 going and i need to pull my tubing out of the pump so I can free flow a bolus. oh man, FHT are still down, i need to call the doc and get the tech to setup for c/s. oh wait, i need to check her cervix, cause maybe we are about to deliver." Of course if no one arrives to help I can get all this done in an acceptable amount of time and the whole time I'm smoothly talking to mom, but in my head i'm screaming for the damn baby to just get better lol. You are not alone my friend.